Evidence map›Paper›PMID 38698354›Full record

SynthesisBMC pediatrics2024

Practice variation in urine collection methods among pre-toilet trained children with suspected urinary tract infection: a systematic review.

Lucy M Wilson, Clara Tam, Veronica Ka Wai Lai, Motunrayo Ajayi, Mê-Linh Lê, Banke Oketola, Terry P Klassen, Alex Aregbesola

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lucy M WilsonChildren's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada.
Clara TamChildren's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada.
Veronica Ka Wai LaiChildren's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada.
Motunrayo AjayiChildren's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada.
Mê-Linh LêNeil John Maclean Health Sciences Library, University of Manitoba, Winnipeg, Canada.
Banke OketolaChildren's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada.
Terry P KlassenChildren's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada.
Alex AregbesolaChildren's Hospital Research Institute of Manitoba, University of Manitoba, 715 McDermot Ave., Winnipeg, MB, R3E 3P4, Canada. Alex.Aregbesola@umanitoba.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) are a common cause of acute illness among infants and young children. There are numerous methods for collecting urine in children who are not toilet trained. This review examined practice variation in the urine collection methods for diagnosing UTI in non-toilet-trained children.

methodsA systematic review was completed by searching MEDLINE (Ovid), Embase (Ovid), CENTRAL (Ovid), PsycInfo (Ovid), CINAHL (EBSCO), and JBI (Ovid) from January 1, 2000 until October 9, 2021 and updated on May 24, 2023. Studies were included if they were conducted in an acute care facility, examined pre-toilet trained children, and compared one urine collection method with another for relevant health care outcomes (such as length of stay in an ED, or re-visits or readmissions to the ED) or provider satisfaction. Two independent reviewers screened the identified articles independently, and those included in the final analysis were assessed for quality and bias using the Newcastle-Ottawa Scale.

resultsOverall, 2535 articles were reviewed and 8 studies with a total of 728 children were included in the final analysis. Seven studies investigated the primary outcome of interest, practice variation in urine collection methods to diagnose a UTI. The seven studies that investigated novel methods of urine collection concluded that there were improved health care outcomes compared to conventional methods. Novel methods include emerging methods that are not captured yet captured in clinical practice guidelines including the use of ultrasound guidance to aid existing techniques. Three studies which investigated healthcare provider satisfaction found preference to novel methods of urine collection.

conclusionsThere is significant practice variation in the urine collection methods within and between countries. Further research is needed to better examine practice variation among clinicians and adherence to national organizations and societies guidelines. PROSPERO registration number CRD42021267754.

Indexed as

Urinary Tract InfectionsUrine Specimen CollectionChildChild, PreschoolHumansInfantPractice Patterns, Physicians'Toilet TrainingEmergency departmentPediatricsSystematic reviewUrinary tract infectionUrine collection

Identifiers

PMID38698354
PMCPMC11067245

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.